胸腔连接用支架加上支架膜治疗
Mayank Goyal1, Ashwariya Ohri1, Preeyati Chopra1
1Division of Gastroenterology and Hepatology, Mayo Clinic, Rochester, Minnesota, USA.
概括
一种使用支架内的单向门的新型内镜技术在非手术患者中成功治疗了耐火性食道-多叶 (EPF). 这种最少的侵入性方法为复杂的EPF案件提供了有希望的解决方案.
科学领域:
- 胃肠病学 胃肠病学
- 胸部外科手术 胸部外科手术
- 干预性内镜检查是干预性的内镜检查.
背景情况:
- 消化管-多叶管 (EPF) 是一种罕见的,严重的疾病,患病率和死亡率高.
- 手术修复是标准的,但对于所有患者来说都不是可行的.
- 之前的慢性EPF的内镜治疗已显示出有限的成功.
研究的目的:
- 描述一种新型的内镜和支气管镜治疗策略,用于非手术候选人的难治性食道 - 多叶腺.
主要方法:
- 在袖子胃切除术和Roux-en-Y食道结节术后治疗了一名耐火性EPF患者.
- 最初的治疗包括在胆管金属支架内安装一个支架.
- 一个完全覆盖的胆汁支架与一个部署的内支气管被用来关闭.
主要成果:
- 联合支架和门技术促进了腹腔的逐渐减压.
- 6个月后的成像证实了食道-多叶腺的完全解脱.
- 在囊关闭后,支架和门成功被移除.
结论:
- 对EPF的非手术候选人来说,内镜和支气管镜管理是一种可行的替代方案.
- 这种在支架内部署门的新技术是耐火EPF的有希望的最小侵入性解决方案.
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